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TIME AFTER TIME
How to Respond to Microaggressions

By Justin Levesque, Care Access Working Group (CAWG)

  Bleeding disorders are genetic.     Imagine you’re the mom of a daughter with hemophilia,
     Why would you choose to             you’ve just changed doctors, and your first appointment is
      have second kid and risk        coming up soon. You’ve heard good things about your new
          another diagnosis?          doctor, but, still, you painstakingly prepare by gathering your
                                      medical documents and printing off pages and pages to prove
        But FVII                      that women and girls can have hemophilia, just in case.
    deficiency isn’t
                                      Or, you’ve been going to events at your local hemophilia
        even that                     chapter. You’re especially interested in the educational ses-
        bad right?                    sions, but it seems like they are always talking about hemo-
                                      philia A or B, and you have vWD. Does this chapter take vWD
     Only men can have                seriously? You’re hesitant to speak up and share your story, just
     hemophilia. I’m not              in case.
    prescribing you factor.
                                      As members of the bleeding disorder community, we’ve all had
      Maybe if you were               experiences like these. They illustrate the daily trials and trib-
     more compliant, you              ulations that consistently punctuate the life of someone with
                                      a chronic condition. And, while each of these moments on its
        wouldn’t have so              own appears manageable on the surface, we know how they
          many bleeds.                can accumulate and become a burden emotionally. We know
                                      they can shape our view of the world and of ourselves, each
8	 Dateline Federation | Summer 2017  instance an unmistakable reminder that your experience is dif-
                                      ferent, YOU are different.

                                      These small slights or twinges, collected over time, amount to
                                      what people are calling now a microaggression. Microaggres-
                                      sions are technically defined as brief, everyday exchanges re-
                                      garded as an instance of indirect, subtle, or unintentional dis-
                                      crimination against members of a marginalized group. From
                                      the uninformed ER doctor who wonders how long you’ve had a
                                      bleeding disorder, misinformed about people being born with
                                      a bleeding disorder, to the stranger in the grocery store staring
                                      at your child’s bruised shins, this type of interaction is common
                                      among community members.

                                      Though we may not immediately recognize it, these events can
                                      impact us greatly over time. It’s also important to remember
                                      that interactions like these can occur within the bleeding disor-
                                      ders community. We are not immune from perpetrating casual,
                                      but ultimately hurtful, oversights of our own. For instance, a
                                      friend who only infuses once a week might say, “Maybe if you
                                      were more compliant, you wouldn’t have so many bleeds.” But
                                      this friend has never had an inhibitor. He doesn’t understand
                                      your personal challenges and how his words and assumptions
                                      might sting.
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